P.S. 39 After School Soccer Program



Skills



Competition



Team Building

Learn From The Pro’s of Because We can Sports!

register for our soccer program at p.s. 39 using our form below

Level up Your Game While Having Fun!

UAU and Because We Can Sports have teamed up with PS 39 to offer students a comprehensive 8 week soccer program beginning on

January 8th.

Registration for this program is limited and you can enroll using the online form below.

Registration fees are $162 for students currently enrolled in UAU’s CAAT Program and $192 for all others.

We look forward to a great experience!

Register Your Child Today Using The Form Below!

I Would Like To Register For The PS 39 Soccer Program(Required)

Please note, if your child is already enrolled in our CAAT Program there is a discounted rate of $162. Those not enrolled in our CAAT program are eligible to participate for $192.

Child's Name:(Required)

First Last

Child's Date of Birth(Required)

Session Registering For:(Required)

Please select your age group.

Child's Age:(Required)

Gender(Required)

Home Address(Required)

Street Address Address Line 2 City State ZIP Code

Home Phone Number(Required)

School Currently Attending:(Required)

Current Grade Level(Required)

Parent/Guardians Name:(Required)

First Last

Parent/Guardians Email(Required)

Enter Email Confirm Email

Parent/Guardian's Cell Phone:(Required)

Please List The Names of Those Who Will Be Picking Up The Student After The Program(Required)

Emergency Contact Information

In case of an emergency and the parent/guardian listed above cannot be reached please list two other individuals as points of contact.

Emergency Contact 1 Name:(Required)

First Last

Emergency Contact Cell Phone Number(Required)

Relationship To Child:(Required)

Emergency Contact 2 Name:(Required)

First Last

Relationship To Child:(Required)

Emergency Contact 2 Cell Phone Number(Required)

Emergency Medical Treatment

It is understood that the final disposition in an emergency case, the judgment of the camp authorities will prevail. The recommendation of the parent as indicated below will be respected as far as possible.

Doctor's Name:(Required)

First Last

Doctor's Phone Number(Required)

Should Any Activity Be Restricted? Please list any/all here along with reason why.(Required)

Credit Card(Required)

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Coupon Code

Credit Card Convenience Fee

$0.00

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Comments

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P.S. 39 After School Soccer Program

Skills

Competition

Team Building

Learn From The Pro’s of Because We can Sports!

register for our soccer program at p.s. 39 using our form below

Level up Your Game While Having Fun!

UAU and Because We Can Sports have teamed up with PS 39 to offer students a comprehensive 8 week soccer program beginning on

January 8th.

Registration for this program is limited and you can enroll using the online form below.

Registration fees are $162 for students currently enrolled in UAU’s CAAT Program and $192 for all others.

We look forward to a great experience!

Register Your Child Today Using The Form Below!

Emergency Contact Information

Emergency Medical Treatment

Questoins About Our Program?

Phone

Email